Digital Commons Network^™

An Innovative Peer Buddy Program To Support Magnet Program Directors In A Large Health System, Ann Bindra

Biennial Convention (CONV)

Purpose (What): The goal of this project was to: support meaningful transition to practice to the Magnet Program Director (MPD) role with a large multi-campus health system; support role satisfaction and retention of MPDs; ensure meaningful MPD role peer connections; and build a strong community of practice for the MPD role.

Relevance/Significance (Why): The Magnet Director (MPD) is a crucial role in organizations, managing multiple projects within the program. It requires a wide range of skills, including leadership, communication, program management, data analysis, academic writing, and teaching (Lackey, Lott, and Whade, 2021). The role is difficult to prepare for, and …

Cordmilk: Umbilical Cord Milking Versus Early Cord Clamping On Short-And Long-Term Outcomes In Neonates Who Are Non-Vigorous At Birth-Study Protocol Of A Multi-Center, Cluster-Randomized, Crossover-Controlled Trial, S. Yogeshkumar, Sunil S. Vernekar, Sangappa M. Dhaded, Kiran Talekar, Benjamin E Leiby, Rebecca Hartman, Yvonne Vaucher, Nitin Chouthai, Meenakshi Girish, Manish Jain, Shuchi Jain, Seema Parvekar, Vinita Jain, Alka Patankar, Milind Suryawanshi, Manish Tiwari, Manjushri Waikar, Nidhi Nashine, Deepali Ambike, Mahesh Asalkar, Rajesh Kulkarni, Sandhya Haribhaktha, Hemraj Narkhede, Sudha Chaudhari, Milind Kamble, Deepti Shrirame, Balchandra Falke, Seema Mehta, Asha Verma, Sunil Gothwal, Shivaprasad S. Goudar, Richard Derman, Anup Katheria, Zubair H. Aghai

Department of Radiology Faculty Papers

BACKGROUND: Facilitating placental transfusion-the transfer of blood from the placenta to the newborn-via delayed cord clamping (DCC) or umbilical cord milking (UCM) at birth has been shown to improve iron stores in healthy term infants and may positively impact long-term neurodevelopmental outcomes. Infants who are non-vigorous at birth and at risk of developing hypoxic-ischemic encephalopathy (HIE) are particularly likely to benefit from placental transfusion. This process may offer neuroprotection by enhancing cardiopulmonary transition, supporting cardiac preload, improving systemic and cerebral perfusion, delivering stem cells and neurotrophic factors, and preventing iron deficiency. While DCC is not currently recommended for non-vigorous term …

The Rider (2025-11-17), Daniela Martinez Salazar

The Rider Archives

Vol. 11, No. 12

Re: Comment Letter For Diggings East 95 % Remedial Design Package Submittal (Dated August 29, 2025), The Silver Bow Creek Conservation Area (Sbcca) – 95 Percent Programmatic Technical Specifications Submittal (Dated August 19, 2025), The Draft Final Sbcca Construction Quality Assurance Plan (Dated August 20, 2025) And The Butte Priority Soils Sbcca Operations And Maintenance (O&M) Plan (Dated August 14, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Irene (Christopherson) Tempest, Myrna J. Layton

Faculty Publications

Irene Ellen Nelson Christopherson Tempest (January 19, 1904 – February 9, 1988) was a Utah pianist, organist and composer.

Maurine Dewsnup, Myrna J. Layton

Faculty Publications

Grace Maurine Dewsnup (February 8, 1909 – February 1, 1998) was a Utah piano soloist, dance accompanist, composer, music theorist and teacher.

Conflicting Bases For Judging Action And Actors: The Role Of Individual Differences, Brittney Louramore

Electronic Theses and Dissertations

This study examined how political orientation, locus of control, and action identification predict moral reasoning across six dilemmas contrasting consistency and compensation. Participants (N ≈ 245) completed measures of ideological beliefs, perceived control, and action construal. Reliability analyses indicated modest internal consistency for Action Identification (α = .53) and low reliability for Locus of Control (α = .32). The six moral scenarios showed very low reliability (α = .11), indicating they captured diverse judgment domains. Binary logistic regressions revealed that political orientation, particularly its social dimension—was the strongest and most context-dependent predictor of moral choice. Economic …

Autostent: A Semi-Automated Approach To Designing Customized 3d-Printed Oral Radiation Stents For Patients With Head And Neck Cancer, Anshuman Agrawal, Rance B Tino, Mohamed Zaid, Millicent Roach, Lianchun Xiao, Mark S Chambers, Anna Lee, Eugene J Koay

Faculty, Staff and Student Publications

Background: Oral stents may reduce toxicities during radiation therapy for head and neck cancer (HNC). Customized 3D-printed oral stents offer faster production and achieve comparable patient-reported outcomes to conventionally fabricated stents. However, their design process remains time-consuming, lacks standardization, and relies heavily on skilled technicians. We hypothesized that semi-automating the design process for 3D-printed, mouth-opening, tongue-depressing (MOTD) stents could standardize the design workflow and decrease design time.

Methods: Using oral stent design principles established over decades by oral oncologists, we created a customized computer program (Autostent) using MATLAB to semi-automate the design process of MOTD stents. We subsequently compared Autostent …

Multiomic Analysis Reveals A Key Bcat1 Role In Mtor Activation By B Cell Receptor And Tlr9, Rui Guo, Yizhe Sun, Matthew Y Lim, Hardik Shah, Joao A Paulo, Rahaman A Ahmed, Weixing Li, Yuchen Zhang, Haopeng Yang, Liang Wei Wang, Daniel Strebinger, Nicholas A Smith, Meng Li, Merrin Man Long Leong, Michael Lutchenkov, Jin Hua Liang, Zhixuan Li, Yin Wang, Rishi Puri, Ari Melnick, Michael R Green, John M Asara, Adonia E Papathanassiu, Duane R Wesemann, Steven P Gygi, Vamsi K Mootha, Benjamin E Gewurz

Faculty, Staff and Student Publications

B lymphocytes play major adaptive immune roles, producing antibodies and driving T cell responses. However, how immunometabolism networks support B cell activation and differentiation in response to distinct receptor stimuli remains incompletely understood. To gain insights, we systematically investigated acute primary human B cell transcriptional, translational, and metabolomic responses to B cell receptor (BCR), TLR9, CD40-ligand (CD40L), IL-4, or combinations thereof. T cell-independent BCR/TLR9 costimulation, which drives malignant and autoimmune B cell states, highly induced transaminase branched chain amino acid transaminase 1 (BCAT1), which localized to lysosomal membranes to support branched chain amino acid synthesis and mTORC1 activation. BCAT1 inhibition …

The Edmonton Obesity Staging System For Pediatrics (Eoss-P) In Mexican Children And Adolescents Living With Obesity: Beyond Bmi Obesity Classes, Isabel Omaña-Guzmán, Roberto Carlos Rodríguez Quintero, Arturo Ruíz-Arroyo, Edith Prado Díaz, Juan Carlos Lopez Alvarenga, Ana María Hernández López, Zendy Fuentes Corona

School of Medicine Publications

Background/Objectives: The Edmonton Obesity Staging System (EOSS) was developed to stage the obesity in adult populations. Subsequently, this staging system was designed for pediatric populations (EOSS-P). This study aimed to describe obesity severity using EOSS-P and correlate it with BMI classes in Mexican children and adolescents living with obesity. Methods: This is a cross-sectional analysis carried out with data from school-age children and adolescents living with obesity who were referred to the Pediatric Obesity Clinic at the Child Welfare Unit at the General Hospital of Mexico “Dr. Eduardo Liceaga”. Obesity was staged using the EOSS-P. To evaluate the association between …

Machine Learning Model For Detecting Masked Hypertension In Young Adults, Brendyn Miller, Samuel Coeyman, Annemarie Wentzel, Carina M.C. Mels, William J. Richardson

Chemical Engineering Faculty Publications and Presentations

Introduction Cardiovascular disease (CVD) remains the leading global cause of mortality, with hypertension (HT) being a significant contributor, responsible for 56% of CVD-related deaths. Masked hypertension (MHT), a condition where patients exhibit normotensive blood pressure (BP) in clinical settings but elevated BP in out-of-clinic measurements, poses an elevated risk for cardiovascular complications and often goes undiagnosed. Current diagnostic methods, such as ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM), have limitations in feasibility and accessibility. Methods This study aimed to address these challenges by leveraging machine learning (ML) models to predict MHT based on clinical data from a single …

Chimes: November 17, 2025, Calvin University

Chimes

Budget cuts slash programs and faculty: Students react with grief and frustration by Sarah Sparling, Ian Tjoelker & McKenna Wilkinson

Bringing the Cretaceous to Calvin: Dice Museum reveals fossil and student artwork by Ellery Johnson

Recap: 200 students attend administration town hall by Sarah Sparling

Celebrating Calvin's Asian American and international populations by Jorie Cho

Calvin's D1 hockey on hot streak as they climb to #4 in national rankings by Hendrik Beelen & Zach Kern

Spotted turtles find their home on campus by Maya Oeverman

Student Senate allocates four thousand dollars to accessibility and sustainability projects by Ashley Hamons

Extensive Spinal Epidural Abscess Evacuated With Unilateral Interlaminar Approach (With Operative Video): Illustrative Case, George A. Crabill, Jack A. Leoni, Kaleb Derouen, Jamieson Glasser, Wesley Shoap, Gabriel Tender

School of Medicine Faculty Publications

BACKGROUND: The authors present the case of a patient with an extensive lumbosacral spinal epidural abscess (SEA) that was successfully evacuated in its entirety with a unilateral interlaminar approach. This is an alternative to wide bony decompression at multiple segments. The surgical approach described decompresses the neural elements while maintaining spinal integrity. OBSERVATIONS: Partial removal of the ligamentum flavum can provide an interlaminar corridor that is sufficient to evacuate extensive SEAs in select patients. LESSONS: This case illustrates a surgical approach that successfully evacuates extensive lumbosacral SEA while respecting spinal integrity. https://thejns.org/doi/abs/10.3171/CASE25646.

Comparing Diagnostic Tools For Heart Failure With Preserved Ejection Fraction Across Community And Clinical Cohorts, Luca Monzo, Olivier Huttin, Biykem Bozkurt, Kévin Duarte, Cecilia Linde, Lars H Lund, Camilla Hage, Erwan Donal, Martin Magnusson, Peter Nilsson, Margret Leosdottir, Erwan Bozec, Guillaume Baudry, Faiez Zannad, Nicolas Girerd

Faculty, Staff and Students Publications

Background: Diagnosing heart failure with preserved ejection fraction (HFpEF) remains challenging, particularly in older adults. While the Heart Failure Association (HFA)-PEFF and H2FPEF Scores offer structured diagnostic approaches, their clinical utility is still debated. This study aims to compare the diagnostic accuracy of HFpEF Scores versus inclusion criteria used in sodium-glucose cotransporter-2 inhibitors (SGLT2i) trials, age-adjusted N-terminal pro B-type natriuretic peptide (NT-proBNP) thresholds and the universal definition of heart failure (HF).

Methods: Diagnostic tools were assessed using sex-weighted and age-weighted propensity score adjustment in individuals aged 60-80 years from two established HFpEF cohorts (MEtabolic Road to DIAstolic Heart Failure (MEDIA), …

Disinhibited Behavior Associated With Rapid Clinical Response To Deep Brain Stimulation For Obsessive-Compulsive Disorder: Illustrative Cases, Sarah S Soubra, Tommy B Liu, Zain U Naqvi, Thomas Hamre, Danika L Paulo, Kalman A Katlowitz, Nisha Giridharan, Katie Van Arsdel, Jonathan H Bentley, Kasra A Mansourian, Davin Devara, Eric A Storch, Sarah R Heilbronner, Sameer A Sheth, Wayne Goodman, Nicole R Provenza

Faculty, Staff and Students Publications

Background: Deep brain stimulation (DBS) of the ventral capsule/ventral striatum (VC/VS) can alleviate symptoms of obsessive-compulsive disorder (OCD) refractory to conventional therapies. Overstimulation, however, can elicit pathological behaviors marked by disinhibition and recklessness.

Observations: Two patients with OCD underwent DBS of the VC/VS region and met responder status within 1 month of stimulation onset, as evidenced by a ≥ 35% reduction in their Yale-Brown Obsessive Compulsive Scale score. Notably, both patients exhibited signs of disinhibited behavior soon after DBS activation, including gambling, sleep disruption, and interpersonal relationship volatility. Through careful management, responder status persisted stably beyond the transient period of …

Describing The Determinants Of Fluid Prescribing And Fluid Balance Optimization In The Pediatric Intensive Care Unit: A Qualitative Study At A Community Hospital, Salvador Roland Maffei, Graciela Sanabria, Matthew Pesek, Ayse Akcan-Arikan, Satid Thammasitboon, Patrick G Lyons

Faculty, Staff and Students Publications

Background: Critically ill children tend to receive fluid volumes exceeding physiologic requirements despite evidence demonstrating harm with increasing net positive fluid balance. However, interventions aimed at optimizing fluid balance have yet to demonstrate significant clinical benefit, likely because there are multiple drivers of this complex problem. In this study, we used qualitative inquiry to describe the current practice at a community pediatric intensive care unit and discover potential barriers and facilitators to clinical practice change.

Methods: We designed a semi-structured interview guide informed by the consolidated framework in implementation research (CFIR) and conducted interviews with attending physicians, dietitians, nurses, nurse …

Application Of Freezetb, A Targeted Nanopore Sequencing Assay, For Identification Of Drug Resistance And Lineages Among Pulmonary Tuberculosis Cases In Alaska, Bryce Inman, Jeremy Butler, Soren George-Nichol, Ganna Kovalenko, Theresa Savidge, Yvette Vergnetti, Catherine Pongratz, Elizabeth Bee, Andrew R Dinardo, Alexander Kay, Anna Mandalakas, Eric Bortz, Tara E Ness

Faculty, Staff and Students Publications

Alaska has the highest incidence of tuberculosis (TB) in the United States, with 8% mortality while undergoing TB treatment. With a quarter of TB cases lacking sputum culture to enable drug resistance testing, FreezeTB aimed to develop tools tailored to meet the challenges in Alaska while being translatable to other settings. We designed a rapid and cost-effective laboratory workflow and software to identify drug-resistant mutations in Mycobacterium tuberculosis using targeted next-generation sequencing (tNGS). FreezeTB, a Fast, Reliable, Economical Evaluation tool to Zap Endemic Tuberculosis, amplifies 22 gene loci associated with resistance to 16 anti-tuberculosis drugs. M. tuberculosis isolates from Alaska …

Family Caregivers' Perspectives On Challenges And Support Needs In Hospital-Based Palliative Care For Persons Living With Dementia, Jung Kwak, Anita Chary, Sarah Stayer, Kwaku Duah Oppong, Sumin Yoon, Snehal Patel, Elizabeth A Kvale

Faculty, Staff and Students Publications

Palliative care needs of hospitalized persons living with dementia (PLWD) and their family caregivers remain poorly understood. This mixed-methods study explored caregivers' perspectives on challenges and support needs when hospitalized PLWD received specialist palliative care consultations. Thirty-two caregivers were recruited from two hospitals; 18 completed interviews and surveys, and 14 completed surveys only. Participants were racially and ethnically diverse (19% Black or African American, 34% Latino or Hispanic). Most identified as women (65%) and adult children (56%). Commonly reported challenges included managing health issues (59%), emotional distress (56%), and decision-making (47%). Thematic analysis of interviews revealed three themes: the value …

Water-Based Logic: The Water Heritage Of Greater Nanning And Its Role In Urban Authenticity, Tiansheng Li

Journal of Environmental Science and Sustainable Development

Water heritage plays a pivotal role in establishing Greater Nanning as a central city in the upper Pearl River basin of southern China. However, this heritage has largely been overlooked due to an urban narrative dominated by land-centrism. This article explores methods to create a comprehensive understanding of the water heritage of Greater Nanning and discusses how it can be integrated into the concept of urban authenticity. It argues that both tangible and intangible water heritages are essential elements to safeguard urban authenticity and promote sustainable cultural development. This study adopts an explanatory sequential mixed-methods design, combining quantitative analysis with …

Developing A Genetic Return Of Results Service Core, Jennifer A Mckenzie, Erin Mcroy, Kevin M Bowling, Jorge Luis Granadillo De Luque, Jessica Mozersky, Erin Linnenbringer, Dustin Baldridge, Jonathan W Heusel, Julie A Neidich, Amanda F Cashen, Laura J Bierut, Sarah M Hartz, Christina A Gurnett

2020-Current year OA Pubs

Research participants should be informed of genetic test results that could impact their health, particularly when they have expressed interest in receiving such information. Furthermore, the return of genetic test results is essential to improve trust, transparency, and health equity. However, investigators often encounter barriers in returning genetic test results to research participants. We examined genomic research at a large, research-intensive medical school and found less than 6% of protocols included plans to return results to participants. This study describes our development of protocols for returning primary and secondary genetic test results and implementation of a Genomic Return of Results …

From Nicu To Neighborhood: Supporting Premature Patients Beyond The Hospital, Bob Underwood, Jermine Harriet Romald

Pediatrics in Practice: A CME Podcast

In this episode, we chat with neonatologist Harriet Romald, MD, FAAP, to explore the critical role pediatricians play in the long-term care of premature infants. From NICU discharge to developmental milestones, we discuss how pediatricians and neonatologists collaborate to ensure continuity of care, monitor common health challenges and navigate social determinants that impact outcomes. Whether you're new to caring for former NICU patients or looking to deepen your understanding, this conversation offers practical insights and the latest updates in neonatal follow-up care.

Click here to stream the podcast episode.

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

The Tax Adviser, Volume 6, Number 6, June 1975, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Professional Corporations Revisited (After The Employee Retirement Income Security Act Of 1974) A, Arthur Kalish, Patricia G. Lewis

Tax Adviser

No abstract provided.

دَور معلمات رياض الأطفال الحكومية في العاصمة عمّان في دعم الكفاءة الاجتماعية لدى أطفال الروضة من وجهة نظرهن (الواقع و المعوقات و المأمول). The Role Of “Government Kindergarten” Teachers In The Capital Amman In Improving The Level Of Social Competence Kindergarten Children From Their Point Of View (Reality - Obstacles - Hopefully), رامي محمود اليوسف

Association of Arab Universities Journal for Education and Psychology

هدفت الدراسة الحالية التعرف إلى واقع دَور معلمات رياض الأطفال في دعم الكفاءة الاجتماعية لدى أطفال الروضة من وجهة نظرهن، والتعرف إلى المعوقات التي تحد من دور معلمات رياض الأطفال في دعم الكفاءة الاجتماعية لدى أطفال الروضة من وجهة نظرهن، كما وهدفت إلى تحديد الإجراءات التي تقترحها المعلمات للتغلب على تلك المعوقات، ولتحقيق أهداف الدراسة تم استخدام المنهج الوصفي التحليلي، حيث تكونت عينة الدراسة من (193) معلمة من المعلمات العاملات في رياض الأطفال الحكومية التابعة لمديريات التربية والتعليم في العاصمة عمّان، تم اختيارهن بالطريقة العنقودية، وقد تم استخدام الاستبانة كأداة لجمع البيانات المرتبطة بأسئلة الدراسة، حيث تكونت من ثلاثة محاور، …

الهناء الوجداني المهني لدى معلمي ومعلمات المرحلة المتوسطة في مدينة الرياض. Job-Related Affective Well-Being Among Male And Female Intermediate Stage Teachers In Riyadh, رجاء محمود مريم

Association of Arab Universities Journal for Education and Psychology

هدفت هذه الدراسة إلى قياس مستوى الهناء الوجداني المهني لدى معلمي المرحلة المتوسطة بمدينة الرياض، ذلك من خلال تطبيق مقياس الهناء الوجداني المرتبط بالعمل (JAWS) والمعد من قبل (Van Katwyk et., 2000 )، وبعد ترجمته والتحقق من خصائصه السيكومترية. جرى تطبيقه على عينة مكونة من (415) معلمًا ومعلمة. وأظهرت النتائج أن مستوى الهناء الوجداني المهني لدى المعلمين كان بوجه عام متوسطًا، حيث جاء بُعد المشاعر الإيجابية منخفضة الإثارة (HPLA) في المرتبة الأولى، يليه بُعد المشاعر الإيجابية عالية الإثارة (HPHA)، ثم المشاعر السلبية منخفضة الإثارةLPLA) )، وأخيرًا المشاعر السلبية عالية الإثارة ( LPHA). وتشير هذه النتائج إلى تمتع المعلمين بدرجة مُرضية …

The Role Of Inflammatory Cytokines In The Bidirectional Relationship Between Periodontitis And Diabetes Mellitus, Andrew R. Witty

Oral Health

Periodontitis and type 2 diabetes mellitus are associated with each other in a bidirectional relationship. The mechanism by which diabetes affects periodontitis is understood to be due to the inflammatory effects of hyperglycemia (high blood glucose levels) and a hospitable environment for sugar-consuming bacteria. Periodontitis is known to be associated with higher levels of glycated hemoglobin (HbA_1c), a long-term measurement of blood glucose control, and treatment of periodontitis reduces HbA_1c. Inflammation caused by periodontitis induces insulin resistance (which leads to higher blood glucose levels), but due to the complex nature of inflammation it is difficult to …

Increasing Teammate Engagement For Float Pool Teammates, Jennifer Keiser

MSN Student Capstones

No abstract provided.

Social Determinants Of Health, Jennifer Simoes

MSN Student Capstones

No abstract provided.

Enhancing Hypertension Management: Ambulatory Nurse-Led Home Blood Pressure Monitoring Initiative, Kristen Hanks

MSN Student Capstones

No abstract provided.